The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight
Background and aimsEarly child interventions focused on the family prevented neurodevelopmental and behavioral delays and can provide more knowledge regarding responsive feeding, thus creating learning opportunities to promote better quality nutrition and preventing failure to thrive. The aim is to...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2022.981818/full |
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| author | Rafael Oliveira Fernandes Juliana Rombaldi Bernardi Juliana Rombaldi Bernardi Júlia Delgado da Fonseca Franciéle Gomes da Silva Renato Soibelmann Procianoy Rita C. Silveira |
| author_facet | Rafael Oliveira Fernandes Juliana Rombaldi Bernardi Juliana Rombaldi Bernardi Júlia Delgado da Fonseca Franciéle Gomes da Silva Renato Soibelmann Procianoy Rita C. Silveira |
| author_sort | Rafael Oliveira Fernandes |
| collection | DOAJ |
| description | Background and aimsEarly child interventions focused on the family prevented neurodevelopmental and behavioral delays and can provide more knowledge regarding responsive feeding, thus creating learning opportunities to promote better quality nutrition and preventing failure to thrive. The aim is to verify the impact of a continuous program of early home-based intervention on the body composition of preschool infants who were born preterm with very low birth weight (VLBW).MethodsThis is a longitudinal analysis from a randomized controlled trial, including VLBW preterm children, born in a tertiary hospital in Southern Brazil and followed up at the high-risk institutional ambulatory clinic. Participants were divided into the intervention group (IG): skin-to-skin care with the mother (kangaroo care), breastfeeding policy, and tactile-kinesthetic stimulation by mothers until hospital discharge. Subsequently, they received a program of early intervention with orientation and a total of 10 home visits, independently from the standard evaluation and care that was performed following the 18 months after birth; conventional group (CG): standard care according to the routine of the newborn intensive care unit (NICU), which includes kangaroo care, and attending to their needs in the follow-up program. Body composition estimation was performed using bioelectrical impedance analyses (BIA), and physical activity and feeding practices questionnaires were evaluated at preschool age, as well as anthropometric measurements and biochemical analysis.ResultsData of 41 children at 4.6 ± 0.5 years old were evaluated (CG n = 21 and IG n = 20). Body weight, height, body mass index, waist and arm circumferences, and triceps and subscapular skinfold did not differ between groups. The IG presented higher segmented fat-free mass (FFM) when compared to the CG (right arm FFM: 0.74 vs. 0.65 kg, p = 0.040; trunk FFM: 6.86 vs. 6.09 kg, p = 0.04; right leg FFM: 1.91 vs. 1.73 kg, p = 0.063). Interaction analyses showed that segmented FFM and FFM Index were associated with higher iron content in the IG. In the CG, interaction analyses showed that increased visceral fat area was associated with higher insulin resistance index.ConclusionAn early intervention protocol from NICU to a home-based program performed by the mothers of VLBW preterm children of low-income families presents a small effect on FFM. |
| first_indexed | 2024-04-11T07:22:32Z |
| format | Article |
| id | doaj.art-d3eb6eb404cd4e44a7e30e04249cf349 |
| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-04-11T07:22:32Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Nutrition |
| spelling | doaj.art-d3eb6eb404cd4e44a7e30e04249cf3492022-12-22T04:37:09ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-10-01910.3389/fnut.2022.981818981818The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weightRafael Oliveira Fernandes0Juliana Rombaldi Bernardi1Juliana Rombaldi Bernardi2Júlia Delgado da Fonseca3Franciéle Gomes da Silva4Renato Soibelmann Procianoy5Rita C. Silveira6Graduate Program in Child and Adolescent Health (PPGSCA), Medical School of Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, BrazilGraduate Program in Child and Adolescent Health (PPGSCA), Medical School of Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, BrazilGraduate Program in Food, Nutrition and Health, Medical School of Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, BrazilGraduate Program in Food, Nutrition and Health, Medical School of Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, BrazilGraduate Program in Child and Adolescent Health (PPGSCA), Medical School of Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, BrazilGraduate Program in Child and Adolescent Health (PPGSCA), Medical School of Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, BrazilGraduate Program in Child and Adolescent Health (PPGSCA), Medical School of Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, BrazilBackground and aimsEarly child interventions focused on the family prevented neurodevelopmental and behavioral delays and can provide more knowledge regarding responsive feeding, thus creating learning opportunities to promote better quality nutrition and preventing failure to thrive. The aim is to verify the impact of a continuous program of early home-based intervention on the body composition of preschool infants who were born preterm with very low birth weight (VLBW).MethodsThis is a longitudinal analysis from a randomized controlled trial, including VLBW preterm children, born in a tertiary hospital in Southern Brazil and followed up at the high-risk institutional ambulatory clinic. Participants were divided into the intervention group (IG): skin-to-skin care with the mother (kangaroo care), breastfeeding policy, and tactile-kinesthetic stimulation by mothers until hospital discharge. Subsequently, they received a program of early intervention with orientation and a total of 10 home visits, independently from the standard evaluation and care that was performed following the 18 months after birth; conventional group (CG): standard care according to the routine of the newborn intensive care unit (NICU), which includes kangaroo care, and attending to their needs in the follow-up program. Body composition estimation was performed using bioelectrical impedance analyses (BIA), and physical activity and feeding practices questionnaires were evaluated at preschool age, as well as anthropometric measurements and biochemical analysis.ResultsData of 41 children at 4.6 ± 0.5 years old were evaluated (CG n = 21 and IG n = 20). Body weight, height, body mass index, waist and arm circumferences, and triceps and subscapular skinfold did not differ between groups. The IG presented higher segmented fat-free mass (FFM) when compared to the CG (right arm FFM: 0.74 vs. 0.65 kg, p = 0.040; trunk FFM: 6.86 vs. 6.09 kg, p = 0.04; right leg FFM: 1.91 vs. 1.73 kg, p = 0.063). Interaction analyses showed that segmented FFM and FFM Index were associated with higher iron content in the IG. In the CG, interaction analyses showed that increased visceral fat area was associated with higher insulin resistance index.ConclusionAn early intervention protocol from NICU to a home-based program performed by the mothers of VLBW preterm children of low-income families presents a small effect on FFM.https://www.frontiersin.org/articles/10.3389/fnut.2022.981818/fullpremature birthvery low birth weight (VLBW)early interventionbody compositionblood chemical analysispreschool child |
| spellingShingle | Rafael Oliveira Fernandes Juliana Rombaldi Bernardi Juliana Rombaldi Bernardi Júlia Delgado da Fonseca Franciéle Gomes da Silva Renato Soibelmann Procianoy Rita C. Silveira The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight Frontiers in Nutrition premature birth very low birth weight (VLBW) early intervention body composition blood chemical analysis preschool child |
| title | The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
| title_full | The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
| title_fullStr | The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
| title_full_unstemmed | The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
| title_short | The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
| title_sort | impact of an early intervention home based program on body composition in preterm born preschoolers with very low birth weight |
| topic | premature birth very low birth weight (VLBW) early intervention body composition blood chemical analysis preschool child |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2022.981818/full |
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